| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,347 |
2,307 |
$153K |
| 71046 |
Radiologic examination, chest; 2 views |
3,750 |
3,645 |
$60K |
| 76536 |
|
705 |
671 |
$48K |
| 76770 |
|
719 |
708 |
$39K |
| 72110 |
|
1,311 |
1,272 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
449 |
438 |
$29K |
| 73562 |
|
1,357 |
1,028 |
$27K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
416 |
406 |
$23K |
| 70486 |
|
252 |
240 |
$23K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
306 |
302 |
$20K |
| 73630 |
|
1,035 |
881 |
$20K |
| 72083 |
|
223 |
216 |
$14K |
| 73610 |
|
583 |
532 |
$13K |
| 73130 |
|
428 |
360 |
$10K |
| 74018 |
|
401 |
384 |
$8K |
| 73030 |
|
497 |
402 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
35 |
29 |
$5K |
| 76881 |
|
70 |
66 |
$5K |
| 72050 |
|
197 |
191 |
$5K |
| 73110 |
|
137 |
124 |
$4K |
| 76641 |
|
57 |
41 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$3K |
| 72070 |
|
170 |
164 |
$3K |
| 93925 |
|
17 |
12 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
26 |
$700.25 |
| 73140 |
|
24 |
24 |
$508.80 |
| 73502 |
|
24 |
24 |
$448.72 |
| 73590 |
|
18 |
12 |
$339.96 |
| 74019 |
|
12 |
12 |
$339.59 |
| 71250 |
|
13 |
12 |
$329.01 |
| 72220 |
|
12 |
12 |
$199.66 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
262 |
258 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
111 |
110 |
$0.00 |